Emergency Medicine Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Endocrine And Metabolic Emergencies
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Authors: George Willis, Bennett A. Myers Source Type: research

Copyright
ELSEVIER (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Source Type: research

Contributors
AMAL MATTU, MD (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Source Type: research

Contents
Amal Mattu (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Source Type: research

Forthcoming Issues
Psychiatric and Behavioral Emergencies (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Source Type: research

Endocrine and Metabolic Emergencies in Emergency Medicine
It is safe to say that most emergency physicians are not enthralled by endocrine or metabolic emergencies. The major glands of the human body generally cannot be seen by the naked eye or palpated, and when things go awry with the endocrine system or metabolism, there often are no straightforward diagnostic physical findings that point to a diagnosis. Endocrinopathies and metabolic derangements generally cannot be diagnosed simply with the stethoscope, an ultrasound, x-ray, or CT scan. As a result, these areas of emergency medicine have not traditionally been favorites for most emergency physicians. (Source: Emergency Medic...
Source: Emergency Medicine Clinics of North America - September 26, 2023 Category: Emergency Medicine Authors: Amal Mattu Tags: Foreword Source Type: research

Legal and Ethical Considerations in Psychiatric Emergencies
Individual rights can be limited in the context of psychiatric emergencies. The emergency physician should be familiar with state laws pertaining to involuntary holds. Physicians are equipped to perform a medical screening examination, address mental health concerns, and lead efforts to de-escalate agitation. The physician should conduct a thorough assessment and distinguish between malingering and mental health decompensation, when appropriate. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 23, 2023 Category: Emergency Medicine Authors: Jay M. Brenner, Thomas E. Robey Source Type: research

Hyperactive Delirium with Severe Agitation
Hyperactive delirium with severe agitation is a clinical syndrome of altered mental status, psychomotor agitation, and a hyperadrenergic state. The underlying pathophysiology is variable and often results from sympathomimetic abuse, psychiatric disease, sedative-hypnotic withdrawal, and metabolic derangement. Patients can go from a combative state to periarrest with little warning. Safety of the patient and of the medical providers is paramount and the emergency department should be prepared to manage these patients with adequate staffing, restraints, and pharmacologic sedatives. Treatment with benzodiazepines, antipsychot...
Source: Emergency Medicine Clinics of North America - September 21, 2023 Category: Emergency Medicine Authors: Brian Springer Source Type: research

Bipolar Disorders in the Emergency Department
Affective disorders affect the way that people think and feel and are classified into unipolar disorders and bipolar disorders. Bipolar disorders represent a spectrum of these chronic mental health illnesses. Patients with bipolar disorder have high recurrence of acute symptoms, and on average spend 20% of their life in exacerbations characterized by mania, depression, or psychosis. Given the increased morbidity and mortality associated with bipolar disorders, it is imperative that the emergency physician remain vigilant when these patients seek emergency care. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 21, 2023 Category: Emergency Medicine Authors: Carmen Wolfe, Nicole McCoin Source Type: research

Disorders of Calcium and Magnesium
This review will discuss the importance and homeostasis of calcium and magnesium in the human body, as well as the implications and treatment of disordered calcium and magnesium. With calcium and magnesium often considered to be the “forgotten cations” in medicine, it is our hope that this review will lead providers to evaluate for and effectively manage these electrolyte disorders in the emergency department. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - August 23, 2023 Category: Emergency Medicine Authors: Zachary Wynne, Cheyenne Falat Source Type: research

Technology and Transplants
This article discusses the approach to evaluation and management of two distinctive subsets of patients: (1) patients who manage their diabetes with an insulin pump (artificial pancreas) and (2) patients who have received a pancreas transplant. The most current literature is reviewed and pearls and pitfalls distinctive to these two patient populations are discussed. Relevant diagnostics are reviewed with emphasis on recognition of complications faced in the emergency department management of these unique patient populations. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - August 21, 2023 Category: Emergency Medicine Authors: J. David Gatz, Bennett A. Myers Source Type: research

Hyperosmolar Hyperglycemic State
Hyperosmolar hyperglycemic state (HHS) is an underrecognized diabetic emergency with high morbidity and mortality. Many features of HHS overlap with those of diabetic ketoacidosis but key differentiators for HHS are serum osmolality greater than 320 mOsm/kg, lack of metabolic acidosis, and minimal to no presence of ketones. HHS is often triggered by an underlying illness —most commonly infection but may also be triggered by stroke, acute coronary syndrome, and other acute illnesses. Treatment guidelines recommend aggressive volume-repletion of osmotic losses in addition to insulin therapy, plus treatment of the underlyin...
Source: Emergency Medicine Clinics of North America - August 18, 2023 Category: Emergency Medicine Authors: Spencer S. Lovegrove, Sarah B. Dubbs Source Type: research

Eating Disorders
Anorexia nervosa (AN) and bulimia nervosa (BN) are easily missed in the emergency department, because patients may present with either low, normal, or increased BMI. Careful examination for signs of purging and excessive use of laxatives and promotility agents is important. Careful examination for and documentation of dental erosions, posterior oropharyngeal bruising, Russel ’s sign, and salivary and parotid gland inflammation are clues to the purging behavior. Treatment for AN should include cognitive behavioral therapy with concomitant efforts to treat any psychiatric comorbidities, whereas BN and BED have been success...
Source: Emergency Medicine Clinics of North America - August 14, 2023 Category: Emergency Medicine Authors: Diane L. Gorgas Source Type: research

The Emergency Psychiatric Interview
A quality clinical interview helps establish a good collaborative relationship with the patient. This is especially important when emergency physicians conduct a psychiatric interview. Familiarity with interview techniques, empathic listening, and observation of nonverbal cues, behavior, and appearance enhance diagnostic excellence. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - August 5, 2023 Category: Emergency Medicine Authors: Ina Becker Source Type: research

Substance Use Disorder
This article provides an overview of SUDs, their clinical assessment, legal considerations in drug testing, diagnosis, and treatment approaches. SUDs are prevalent and coexist with mental health disorders, necessitating comprehensive evaluation and management. Clinical assessment involves screening tools, substance use history, and identification of comorbidities. Diagnosis relies on a thorough evaluation of substance abuse patterns and associated medical conditions. Treatment approaches encompass a multidisciplinary approach, incorporating counseling, medications, and social support. Effective management of SUDs in the ED...
Source: Emergency Medicine Clinics of North America - August 5, 2023 Category: Emergency Medicine Authors: Kaitlyn R. Swimmer, Stephen Sandelich Source Type: research